Evidence map›Paper›PMID 41221219›Full record

ArticleInternational journal of nephrology2025

Work and Dialysis: Navigating Employment Challenges Among Young Adults on Maintenance Hemodialysis in Tanzania.

Daniel Msilanga, Upendo Nkwera, Priyank Punatar, Jonathan Mngumi, Elizabeth Msangi, Gudila Valentine, Happiness Mushi, Jacqueline Shoo

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Article in International journal of nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Daniel MsilangaDepartment of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID https://orcid.org/0009-0009-6109-0728
Upendo NkweraDepartment of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Priyank PunatarDepartment of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Jonathan MngumiDepartment of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Elizabeth MsangiDepartment of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Gudila ValentineDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Happiness MushiDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Jacqueline ShooDepartment of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Chronic kidney disease (CKD) increasingly affects young adults in low-and middle-income countries, with significant social and economic consequences. In Tanzania, many patients begin dialysis during their most productive years, often disrupting employment and financial stability. This study aimed to examine employment patterns and dialysis-related work challenges among young adults on maintenance hemodialysis at Muhimbili National Hospital. Methods: We conducted a hospital-based cross-sectional study at Muhimbili National Hospital from October to December 2024, involving adults aged 18-49 years on maintenance hemodialysis for at least three months. Data were collected using a structured questionnaire and supplemented with clinical records to assess sociodemographic, dialysis-related, employment, and transplant-related factors. Descriptive statistics were used to summarize the findings. Results: We included 134 patients aged between 18 and 49 years, with a mean age of 35.8 years (SD: 8.9). A total of 58.3% were either employed or self-employed, with 44.9% reporting that they did not work on dialysis days. Among those working, 65.4% experienced changes in their work patterns due to treatment demands, and 42.4% worked fewer than 4 days per week. Among the unemployed participants (24.6%), more than half (57.6%) reported resigning from work due to dialysis-related challenges. Out-of-pocket payment for dialysis was common, reported by 52.3% of participants. Although awareness of kidney transplantation was high (92.5%), only 27.6% had previously pursued or were actively pursuing it, primarily hindered by the absence of a donor (48.3%), high cost (23.0%), or both (28.7%). Conclusion: Young adults on maintenance hemodialysis in Tanzania face significant employment disruptions and limited access to kidney transplantation, highlighting the need for integrated interventions to support their social and economic well-being.

Identifiers

PMID41221219
PMCPMC12602022

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.